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Jan. 11. 2018 3:44FM <br />Serial Number <br />26414:62 <br />Tax Period <br />Ending <br />b) <br />12/ <br />* * * * * * * * ** <br />XXX -XX - <br />* * * * * * * * * * * ** <br />Date of <br />Assessment <br />(d) <br />06/06/201 <br />* * * * * * * * ** <br />Last Day for <br />e) <br />07/06/20 <br />identifying Humber <br />(c) <br />Form 669 (Z) <br />(Rev. 10 -20001 <br />Name PAMELA Taxpayer LA Mfl7 USSLER DECD <br />PAN)L M <br />NE Secretary of State — UCC <br />11874 Department of the Treasury <br />Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />b Recording Office <br />For Use Y <br />Area: <br />WAGE & IMESTMENT ) AREA it2 <br />Lien Unit Phone - <br />B <br />I certify that the following - named taxpayer, under the requirements of section 632 (a) <br />ory <br />of the Internal Revenue Code � Code section for these all <br />taxes ut and <br />additions. Therefore, the provided er officer in the office where the notice of <br />additions has been released. Thep ro p June 14 <br />internal revenue tax lien was filed on <br />2017 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Residence GRAD DIVISION N T <br />NE 68801-64 <br />COURT RECORDING INFORMATION: <br />Page CCU No _�__� 5eri-al No . <br />n/a '9917793524- 0 )2017Q39 <br />C7 <br />Liber <br />n/a <br />Kind of Tax <br />a) <br />1040 <br />the <br />Signature <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 - 1 692 <br />This notice was prepared and signed at <br />December 2017, <br />27th day of ' <br />CHICAGO, IL <br />No.3239 F. 2 <br />201800 <br />NE zoo of <br />51ai■ John q ua.� 1111 <br />filed, p1r11/70�a m1:5H PPI <br />Total <br />Unpaid Balance <br />of Assessment <br />( <br />11726 .10 <br />* * * * * * * * * * * * * * ** <br />11726.1 <br />on this <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />e, tt, the validity of Certificate of Release of <br />